Individual
MR. TYSON GABRIEL BAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 LAFAYETTE ST STE 105, SANTA CLARA, CA 95050-4966
(408) 293-7767
(408) 300-9663
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
(925) 933-2709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
52496
CA
Other
Enumeration date
01/30/2012
Last updated
09/19/2024
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